Individual provider Active NPI

Amanda J Elliott, PA-C

  • Physician Assistant
  • Key West, FL
National Provider Identifier
1922447291
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3087-23 Issued in WI
Practice address
925 Toppino Dr
Key West, FL 33040
Phone
(305) 296-2212
Fax
(305) 296-2209
NPI assigned
Jun 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3087-23 WI Primary

Addresses

Primary practice location

925 Toppino Dr
Key West, FL 33040

Mailing address

13365 Overseas Hwy Apt 201
Marathon, FL 33050-3513
Phone (715) 491-7697

Other practice location 1

900 W Clairemont Ave
Eau Claire, WI 54701-6122
Phone (414) 290-6720

Other practice location 2

95360 Overseas Hwy Ste 11
Key Largo, FL 33037-2038
Phone (305) 363-2954

Other practice location 3

900 W Clairemont Ave
Eau Claire, WI 54701-6122
Phone (414) 290-6720

Other practice location 4

1111 12th St Ste 112
Key West, FL 33040-4087
Phone (305) 294-1779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180420002329 FL Practitioner - Physician Assistant 7719112085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuroscience Associates IncGroup PAC ID 6800025131, 10 clinicians

Practice addresses (Care Compare)

925 Toppino Dr
Key West, FL 33040-4269
Phone (305) 296-2212

Hospital & facility affiliations

  • Island Home Care Home health agency, Key West, FL, CCN 109772
  • Lower Keys Medical Center Hospital, Key West, FL, CCN 100150
  • Fishermen'S Community Hospital Hospital, Marathon, FL, CCN 101312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3087-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroscience Associates Inc CurrentSince Oct 1, 2019 Accepting new patients
Ihc-Sacred Heart Emergency Physicians, LLC Physician Assistant Past Accepting new patients
Sacred Heart Hospital of the Hospital Sisters-3Rd Order of St Francis Past Accepting new patients
St Josephs Hospital of the Hospital Sisters of the Third Order of St F Past Accepting new patients

Locations

95360 Overseas Hwy
Ste 11
Key Largo, FL 33037
Phone (305) 296-2212

1111 12th St
Ste 112
Key West, FL 33040
Phone (305) 292-2625

925 Toppino Dr
Key West, FL 33040
Phone (305) 296-2212

1111 12th St
Ste 212
Key West, FL 33040
Phone (305) 296-2212

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1922447291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13365 OVERSEAS HWY APT 201",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503513",
            "telephone_number": "715-491-7697",
            "fax_number": "305-296-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 TOPPINO DR",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "33040",
            "telephone_number": "305-296-2212",
            "fax_number": "305-296-2209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 W Clairemont Ave",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547016122",
            "country_code": "US",
            "telephone_number": "414-290-6720",
            "fax_number": "414-290-6755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "95360 Overseas Hwy Ste 11",
            "address_purpose": "LOCATION",
            "city": "Key Largo",
            "state": "FL",
            "postal_code": "330372038",
            "country_code": "US",
            "telephone_number": "305-363-2954",
            "fax_number": "305-363-2955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 W Clairemont Ave",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547016122",
            "country_code": "US",
            "telephone_number": "414-290-6720",
            "fax_number": "414-290-6755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 12th St Ste 112",
            "address_purpose": "LOCATION",
            "city": "Key West",
            "state": "FL",
            "postal_code": "330404087",
            "country_code": "US",
            "telephone_number": "305-294-1779",
            "fax_number": "305-294-3931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "AMANDA",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "3087-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

Verify at the official NPI Registry.